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Can a spouse get paid to be a caregiver in Texas?

Short answer

Generally no

Generally no. Texas HHS STAR+PLUS handbook: 'Federal and state rules prohibit a spouse from being a paid PAS provider.' Form 1726 notes an exception for CMPAS.

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The programs to ask about, documents to gather, and who to call in Texas. We'll also email you if Texas's rules or pay rates change.

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Programs to ask about in Texas

1

STAR+PLUS / STAR+PLUS HCBS – Consumer Directed Services (CDS) option

Members (or their legally authorized representative) living in their own or a family home can hire and manage their own attendants, including family members and friends. A Financial Management Services Agency (FMSA) handles payroll.

2

Consumer Managed Personal Attendant Services (CMPAS)

Named by Texas HHS Form 1726 as the exception where a spouse may be employed under CDS. Eligibility details not covered here.

How to apply

Apply for Medicaid online through Your Texas Benefits or by calling 2-1-1 (Texas HHS STAR+PLUS page). STAR+PLUS HCBS has an interest list: get on it through HHSC Interest List Management or, if already in STAR+PLUS, through your health plan (MCO). Current Medicaid members may be able to skip the list through the 'upgrade' process.

If a spouse can't be paid, another relative often can. See who can be paid in Texas.
Before you act: rules change and individual eligibility depends on your assessment. Confirm with the program. This page summarizes official sources and does not promise eligibility or pay.

Sources